Skip to main content
Enhanced Health AIv0.6.0
QuizMy PlanCalendarEvidenceSources
Session check

© 2026 Enhanced Health AI

MD-Designed No Data Sold
QuizSearchEvidenceSourcesHow We ScorePricingTermsPrivacy
Back to Database

Supplement

N-Acetyl Cysteine (NAC)

Precursor for glutathione synthesis and redox balance.[2359,2739,3732, etc.]

Superscript reference numbers link to the Sources bibliography.

Strong Evidence
Immune SupportLongevityMetabolic Healthalias: NAC

Composite Rating

3.7/5

Blends evidence depth, community direction, safety friction, and completeness.

Evidence Intensity

100/100

High depth from human/RCT/meta counts

Community Direction

-6

Mixed / Neutral • confidence Minimal

Safety Friction

100/100

High signal from adverse/interaction markers

Data Completeness

100%

Studies 15 • mentions 5 • links 25

Not medical advice. This product is for educational and informational purposes only. It does not diagnose, treat, cure, or prevent any disease and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions regarding a medical condition.

FDA disclaimer: These statements have not been evaluated by the Food and Drug Administration. Dietary supplements are not intended to diagnose, treat, cure, or prevent any disease. Results may vary. Not intended for use by pregnant or nursing women, individuals under 18, or those with known medical conditions without physician consultation.

If you are experiencing a medical emergency, call 911 or your local emergency number immediately.

Implementation Blueprint

Goal alignment: Immune Support, Longevity, Metabolic Health.[577,725,949, etc.]

Dose guide: 600-1800 mg/day split doses.[577,725,949, etc.]

Category: amino-acid.[577,725,949, etc.]

Category

Amino Acid

Evidence Tier

HIGH

Daily Guide

600-1800 mg/day split doses

Dosing Guide

600-1800 mg/day split doses[2359,2739,3732, etc.]

Safety and Pitfalls

  • Potential headache/hypotension with nitrates[577,725,949, etc.]
  • Potential side effect: nausea[577,725,949, etc.]
  • Potential side effect: GI discomfort[577,725,949, etc.]
  • Use caution with condition: active peptic ulcer[577,725,949, etc.]
  • Interaction check: nitroglycerin[577,725,949, etc.]
  • Legacy caution group: Some asthmatics (monitor)[577,725,949, etc.]
  • Legacy caution group: Active GI bleeding[577,725,949, etc.]

At-A-Glance Evidence Architecture[2359,2739,3732, etc.]

Clinical Depth

Humans: 580 • RCTs: 97 • Meta: 31

Cohort / Real-World

Cohort signals: 0

Safety Markers

Adverse signals: 2,295 • Interactions: 680

Evidence Tracking

Freshness, trend, and study timeline for this item

Evidence Tracking

Status

New Evidence

Trend

↑ Growing evidence base

Depth

1159 total studies · 5 recent

Timeline

20142025

Top Signal Metrics[2359,2739,3732, etc.]

Animal-only studies

5,110

In vitro / tissue

2,660

Safety adverse signals

2,295

Total indexed

1,159

Interaction signals

680

Human studies

580

Community Direction Mix[577,725,949, etc.]

Weighted direction score: -6 (Mixed / Neutral)

Benefit2 (40%)
Adverse2 (40%)
No Effect0 (0%)
Mixed1 (20%)

Evidence Quality Summary[2359,2739,3732, etc.]

High when >=2 human meta-analyses, or >=5 human RCTs with substantial human literature volume.

Animal-only studies

5,110

In vitro / tissue

2,660

Safety adverse signals

2,295

Total indexed

1,159

Interaction signals

680

Human studies

580

Randomized trials

97

Meta-analyses

31

Study Type Breakdown

Distribution of evidence by study design strength

Meta-AnalysesLevel 1a31
Randomized TrialsLevel 1b97
Human Studies (other)Level 3-4452
All IndexedAll levels1,159
100

Evidence Strength: High

Composite of study volume, RCTs, and meta-analyses

Top Human Studies[2359,2739,3732, etc.]

PMID 32851663 • 2020 Aug 27

Antioxidants for female subfertility.

Cochrane Database Syst Rev

Open PubMed

PMID 32900213 • 2021 Feb

Effectiveness of N-acetylcysteine in autism spectrum disorders: A meta-analysis of randomized controlled trials.

Aust N Z J Psychiatry

Open PubMed

PMID 38775255 • 2024 May 22

Antioxidant supplementation for sickle cell disease.

Cochrane Database Syst Rev

Open PubMed

PMID 39632267 • 2024 Dec

The impact of N-acetylcysteine on lactate, biomarkers of oxidative stress, immune response, and muscle damage: A systematic review and meta-analysis.

J Cell Mol Med

Open PubMed

PMID 35261035 • 2022 Jul

The effects of N-acetylcysteine on recovery biomarkers: A systematic review and meta-analysis of controlled trials.

J Food Biochem

Open PubMed

PMID 28102488 • 2017 Aug

Performance and Side Effects of Supplementation with N-Acetylcysteine: A Systematic Review and Meta-Analysis.

Sports Med

Open PubMed

PMID 35975308 • 2023 Jan 26

Supplementing Glycine and N-Acetylcysteine (GlyNAC) in Older Adults Improves Glutathione Deficiency, Oxidative Stress, Mitochondrial Dysfunction, Inflammation, Physical Function, and Aging Hallmarks: A Randomized Clinical Trial.

J Gerontol A Biol Sci Med Sci

Open PubMed

PMID 39415242 • 2024 Oct 16

N-acetylcysteine supplementation improves endocrine-metabolism profiles and ovulation induction efficacy in polycystic ovary syndrome.

J Ovarian Res

Open PubMed

PMID 35133468 • 2022 Mar

Effects of N-acetylcysteine supplementation on disease activity, oxidative stress, and inflammatory and metabolic parameters in rheumatoid arthritis patients: a randomized double-blind placebo-controlled trial.

Amino Acids

Open PubMed

PMID 37405379 • 2023 May 8

Response to Intravenous N-Acetylcysteine Supplementation in Critically Ill Patients with COVID-19.

Nutrients

Open PubMed

PMID 25222041 • 2014

N-Acetylcysteine supplementation reduces oxidative stress and DNA damage in children with β-thalassemia.

Hemoglobin

Open PubMed

PMID 40421021 • 2025

Co-administration of vitamin D and N-acetylcysteine to modulate immunosenescence in older adults with vitamin D deficiency: a randomized clinical trial.

Front Immunol

Open PubMed

PMID 39125311 • 2024 Jul 26

Mitigating Traumatic Brain Injury: A Narrative Review of Supplementation and Dietary Protocols.

Nutrients

Open PubMed

PMID 35315418 • 2022 Mar 14

Dietary supplements for treatment of endometriosis: A review.

Acta Biomed

Open PubMed

PMID 33783984 • 2021 Mar

Glycine and N-acetylcysteine (GlyNAC) supplementation in older adults improves glutathione deficiency, oxidative stress, mitochondrial dysfunction, inflammation, insulin resistance, endothelial dysfunction, genotoxicity, muscle strength, and cognition: Results of a pilot clinical trial.

Clin Transl Med

Open PubMed

Community Report Frequency[577,725,949, etc.]

Benefit reports: 2

Adverse reports: 2

No-effect reports: 0

Mixed reports: 1

Unclear reports: 0

Signal confidence: 0.00

Top Reported Effects[577,725,949, etc.]

Benefits

  • Glutathione production (master antioxidant): 1
  • Liver protection and detoxification: 1
  • Respiratory health and mucus clearance: 1
  • Neuroprotection and mental health support: 1
  • Heavy metal chelation: 1
  • May support fertility: 1
  • Anti-inflammatory: 1

Adverse

  • Some asthmatics (monitor): 1
  • Active GI bleeding: 1

No Effect

  • insufficient no-effect reports captured: 0

Strong demand in immune and detox communities. | Step2: Insufficient empirical signal for a directional adjustment.

Reddit evidence: 0 mentions (confidence 0.00).

Amazon signal: 0 products scanned (confidence 0.00).

GNC signal: 0 products scanned (confidence 0.00) [BLOCKED].

PerimeterX / captcha block encountered.

Search fetch failed: Failed to fetch after retries: https://old.reddit.com/search.json?raw_json=1&sort=relevance&t=year&limit=12&q=%22n-acetyl%20cysteine%22%20(supplement%20OR%20dosage%20OR%20stack%20OR%20side%20effects%20OR%20review)%20(subreddit%3ASupplements%20OR%20subreddit%3ANootropics%20OR%20subreddit%3ABiohackers%20OR%20subreddit%3Alongevity%20OR%20subreddit%3ANutrition%20OR%20subreddit%3AHubermanLab%20OR%20subreddit%3ASleep%20OR%20subreddit%3AFitness%20OR%20subreddit%3Aketoscience%20OR%20subreddit%3AStackAdvice)

Fallback search failed: Failed to fetch after retries: https://old.reddit.com/search.json?raw_json=1&sort=comments&t=all&limit=16&q=%22n-acetyl%20cysteine%22%20(supplement%20OR%20capsule%20OR%20powder%20OR%20experience%20OR%20results%20OR%20side%20effects)

Broad search failed: Failed to fetch after retries: https://old.reddit.com/search.json?raw_json=1&sort=new&t=all&limit=16&q=n-acetyl%20cysteine

Use adverse/interactions PubMed signal counts for screening; perform clinician review before high-dose or multi-drug stack use.

Imported legacy community score: 9.0/10 (heuristic mapping confidence 1.00).

Imported legacy monthly cost signal: ~$12.00.

Legacy community note: Extremely popular in longevity, biohacking, and mental health communities. "GlyNAC" (NAC + glycine) gaining massive traction after aging reversal study. Users report clearer thinking, better breathing, improved liver markers, and reduced compulsive behaviors.

Community Evidence Examples[577,725,949, etc.]

aggregate • unclear

Aggregate community signal: 5 directional mentions (benefit 2, adverse 2, no-effect 0, mixed 1).

Open mention

Retail Signal Examples

amazon

Amazon search for N-Acetyl Cysteine (NAC)

Rating: n/a | Reviews: n/a

Open product

Primary Source Links

Evidence Sources

  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22N-acetylcysteine%22)%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22N-acetylcysteine%22)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22N-acetylcysteine%22)%20AND%20animals%5BMeSH%20Terms%5D%20NOT%20humans%5BMeSH%20Terms%5D
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22N-acetylcysteine%22)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)%20AND%20randomized%20controlled%20trial%5BPublication%20Type%5D
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22N-acetylcysteine%22)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)%20AND%20meta-analysis%5BPublication%20Type%5D
  • https://pubmed.ncbi.nlm.nih.gov/32851663/
  • https://pubmed.ncbi.nlm.nih.gov/32900213/
  • https://pubmed.ncbi.nlm.nih.gov/38775255/
  • https://pubmed.ncbi.nlm.nih.gov/39632267/
  • https://pubmed.ncbi.nlm.nih.gov/35261035/
  • https://pubmed.ncbi.nlm.nih.gov/28102488/
  • https://pubmed.ncbi.nlm.nih.gov/35975308/
  • https://pubmed.ncbi.nlm.nih.gov/39415242/
  • https://pubmed.ncbi.nlm.nih.gov/35133468/
  • https://pubmed.ncbi.nlm.nih.gov/37405379/
  • https://pubmed.ncbi.nlm.nih.gov/25222041/
  • https://pubmed.ncbi.nlm.nih.gov/40421021/
  • https://pubmed.ncbi.nlm.nih.gov/39125311/
  • https://pubmed.ncbi.nlm.nih.gov/35315418/
  • https://pubmed.ncbi.nlm.nih.gov/33783984/

Community Sources

  • https://old.reddit.com/search.json?raw_json=1&sort=relevance&t=year&limit=12&q=%22n-acetyl%20cysteine%22%20(supplement%20OR%20dosage%20OR%20stack%20OR%20side%20effects%20OR%20review)%20(subreddit%3ASupplements%20OR%20subreddit%3ANootropics%20OR%20subreddit%3ABiohackers%20OR%20subreddit%3Alongevity%20OR%20subreddit%3ANutrition%20OR%20subreddit%3AHubermanLab%20OR%20subreddit%3ASleep%20OR%20subreddit%3AFitness%20OR%20subreddit%3Aketoscience%20OR%20subreddit%3AStackAdvice)
  • https://old.reddit.com/search.json?raw_json=1&sort=comments&t=all&limit=16&q=%22n-acetyl%20cysteine%22%20(supplement%20OR%20capsule%20OR%20powder%20OR%20experience%20OR%20results%20OR%20side%20effects)
  • https://old.reddit.com/search.json?raw_json=1&sort=new&t=all&limit=16&q=n-acetyl%20cysteine
  • https://www.reddit.com/search/?q=N-Acetyl%20Cysteine%20(NAC)

Scientific Evidence Notes[2359,2739,3732, etc.]

1. NAC for oxidative stress biomarkers

RCT • 2020 • Adults

Small to medium human trials.

Outcome: Improves selected oxidative markers.[2359,2739,3732, etc.]

2. Glutathione pathway support

MECHANISTIC • 2018 • Adults

Biochemical and tissue data.

Outcome: Supports cellular antioxidant systems.[2359,2739,3732, etc.]

3. PubMed evidence summary: N-acetyl Cysteine

PUBMED • Humans + preclinical triage

Counts aggregated from automated literature sweep and tiering rules.

Outcome: Tier HIGH; humans 580, RCTs 97, meta-analyses 31.[2359,2739,3732, etc.]

Open source
4. Antioxidants for female subfertility.

PUBMED • 2020 • Human evidence curation set

PMID 32851663 from Cochrane Database Syst Rev.

Outcome: See linked PubMed abstract for methods and outcomes.[2359,2739,3732, etc.]

Open source
5. Effectiveness of N-acetylcysteine in autism spectrum disorders: A meta-analysis of randomized controlled trials.

PUBMED • 2021 • Human evidence curation set

PMID 32900213 from Aust N Z J Psychiatry.

Outcome: See linked PubMed abstract for methods and outcomes.[2359,2739,3732, etc.]

Open source
6. Antioxidant supplementation for sickle cell disease.

PUBMED • 2024 • Human evidence curation set

PMID 38775255 from Cochrane Database Syst Rev.

Outcome: See linked PubMed abstract for methods and outcomes.[2359,2739,3732, etc.]

Open source
7. The impact of N-acetylcysteine on lactate, biomarkers of oxidative stress, immune response, and muscle damage: A systematic review and meta-analysis.

PUBMED • 2024 • Human evidence curation set

PMID 39632267 from J Cell Mol Med.

Outcome: See linked PubMed abstract for methods and outcomes.[2359,2739,3732, etc.]

Open source
8. The effects of N-acetylcysteine on recovery biomarkers: A systematic review and meta-analysis of controlled trials.

PUBMED • 2022 • Human evidence curation set

PMID 35261035 from J Food Biochem.

Outcome: See linked PubMed abstract for methods and outcomes.[2359,2739,3732, etc.]

Open source
9. Performance and Side Effects of Supplementation with N-Acetylcysteine: A Systematic Review and Meta-Analysis.

PUBMED • 2017 • Human evidence curation set

PMID 28102488 from Sports Med.

Outcome: See linked PubMed abstract for methods and outcomes.[2359,2739,3732, etc.]

Open source
10. Supplementing Glycine and N-Acetylcysteine (GlyNAC) in Older Adults Improves Glutathione Deficiency, Oxidative Stress, Mitochondrial Dysfunction, Inflammation, Physical Function, and Aging Hallmarks: A Randomized Clinical Trial.

PUBMED • 2023 • Human evidence curation set

PMID 35975308 from J Gerontol A Biol Sci Med Sci.

Outcome: See linked PubMed abstract for methods and outcomes.[2359,2739,3732, etc.]

Open source
11. N-acetylcysteine supplementation improves endocrine-metabolism profiles and ovulation induction efficacy in polycystic ovary syndrome.

PUBMED • 2024 • Human evidence curation set

PMID 39415242 from J Ovarian Res.

Outcome: See linked PubMed abstract for methods and outcomes.[2359,2739,3732, etc.]

Open source
12. Effects of N-acetylcysteine supplementation on disease activity, oxidative stress, and inflammatory and metabolic parameters in rheumatoid arthritis patients: a randomized double-blind placebo-controlled trial.

PUBMED • 2022 • Human evidence curation set

PMID 35133468 from Amino Acids.

Outcome: See linked PubMed abstract for methods and outcomes.[2359,2739,3732, etc.]

Open source
13. Response to Intravenous N-Acetylcysteine Supplementation in Critically Ill Patients with COVID-19.

PUBMED • 2023 • Human evidence curation set

PMID 37405379 from Nutrients.

Outcome: See linked PubMed abstract for methods and outcomes.[2359,2739,3732, etc.]

Open source
14. N-Acetylcysteine supplementation reduces oxidative stress and DNA damage in children with β-thalassemia.

PUBMED • 2014 • Human evidence curation set

PMID 25222041 from Hemoglobin.

Outcome: See linked PubMed abstract for methods and outcomes.[2359,2739,3732, etc.]

Open source
15. Co-administration of vitamin D and N-acetylcysteine to modulate immunosenescence in older adults with vitamin D deficiency: a randomized clinical trial.

PUBMED • 2025 • Human evidence curation set

PMID 40421021 from Front Immunol.

Outcome: See linked PubMed abstract for methods and outcomes.[2359,2739,3732, etc.]

Open source
16. Mitigating Traumatic Brain Injury: A Narrative Review of Supplementation and Dietary Protocols.

PUBMED • 2024 • Human evidence curation set

PMID 39125311 from Nutrients.

Outcome: See linked PubMed abstract for methods and outcomes.[2359,2739,3732, etc.]

Open source
17. Dietary supplements for treatment of endometriosis: A review.

PUBMED • 2022 • Human evidence curation set

PMID 35315418 from Acta Biomed.

Outcome: See linked PubMed abstract for methods and outcomes.[2359,2739,3732, etc.]

Open source
18. Glycine and N-acetylcysteine (GlyNAC) supplementation in older adults improves glutathione deficiency, oxidative stress, mitochondrial dysfunction, inflammation, insulin resistance, endothelial dysfunction, genotoxicity, muscle strength, and cognition: Results of a pilot clinical trial.

PUBMED • 2021 • Human evidence curation set

PMID 33783984 from Clin Transl Med.

Outcome: See linked PubMed abstract for methods and outcomes.[2359,2739,3732, etc.]

Open source